Nervous System Clinical Medicine Research Center, Affiliated Hospital of Guilin Medical University, Guilin, 541001, China.
Department of Neurology, Affiliated Hospital of Guilin Medical University, Guilin, 541000, China.
Sci Rep. 2023 Oct 16;13(1):17507. doi: 10.1038/s41598-023-44826-9.
Ischemic stroke stands as a prevalent neurological ailment, where a paucity of methodologies exists for the assessment of functional outcomes post-stroke. Our objective was the development of a WeChat applet for the evaluation of muscle strength and the subsequent evaluation of its validity in ischemic stroke patients experiencing motor dysfunction. The assessment encompassed Lovett and NIHSS, followed by muscle strength values (MSV) and muscle strength ratios (MSR). These metrics were then scrutinized in relation to NIHSS and Lovett, followed by examination of their interrelationships. We enrolled a cohort of 157 patients, with an average age of 65 years, consisting of 96 males and 61 females. Lovett scores in the range of 2-4 and NIHSS scores spanning from 0 to 3 were found to correspond to specific values of MSV and MSR, respectively. Upon conducting correlation analysis, we noted that both MSV and MSR exhibited significant positive correlations with Lovett scores and NIHSS. Remarkably, the correlation of MSR with Lovett scores or NIHSS surpassed that of MSV. The WeChat applet offers a means of digitization and visualization of muscle strength. It correlates well with Lovett score and NIHSS, especially MSR. This bears potential significance in guiding the rehabilitation of stroke patients.
缺血性脑卒中是一种常见的神经系统疾病，目前缺乏评估脑卒中后功能结局的方法。我们的目的是开发一个微信小程序，用于评估肌肉力量，并评估其在运动功能障碍的缺血性脑卒中患者中的有效性。评估包括 Lovett 和 NIHSS，随后评估肌肉力量值（MSV）和肌肉力量比（MSR）。然后，我们研究了这些指标与 NIHSS 和 Lovett 的关系，并检查了它们之间的相互关系。我们招募了 157 名患者，平均年龄 65 岁，其中男性 96 名，女性 61 名。发现 Lovett 评分在 2-4 之间，NIHSS 评分在 0-3 之间，分别对应于特定的 MSV 和 MSR 值。进行相关性分析后，我们注意到 MSV 和 MSR 与 Lovett 评分和 NIHSS 均呈显著正相关。值得注意的是，MSR 与 Lovett 评分或 NIHSS 的相关性超过了 MSV。微信小程序提供了一种肌肉力量的数字化和可视化方法。它与 Lovett 评分和 NIHSS 相关性良好，尤其是 MSR。这在指导脑卒中患者的康复方面具有潜在意义。
